Active NPI
Renalite
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Fresno, CA
National Provider Identifier
1851911358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Legal business name
- RENALITE
- Practice address
- 1312 E Olive Ave
Fresno, CA 93728-3610 - Phone
- (800) 666-5323
- NPI assigned
- Apr 24, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Cashmir Luke
- Title
- Member/Manager
- Phone
- (415) 933-2264
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Primary |
Addresses
Primary practice location
1312 E Olive Ave
Fresno, CA 93728-3610
Mailing address
PO Box 690311
Stockton, CA 95269-0311
Other names 1
- RENALITE IN-HOME KIDNEY CARE
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Fresno |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587686400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1587686400000",
"number": "1851911358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 690311",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952690311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1312 E OLIVE AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937283610",
"telephone_number": "800-666-5323"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENALITE",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-24",
"last_updated": "2020-04-24",
"certification_date": "2020-04-24",
"status": "A",
"authorized_official_last_name": "LUKE",
"authorized_official_first_name": "CASHMIR",
"authorized_official_title_or_position": "MEMBER/MANAGER",
"authorized_official_telephone_number": "415-933-2264",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "261QE0700X",
"taxonomy_group": "",
"desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Fresno",
"affiliation": "N",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1312 E Olive Ave",
"city": "Fresno",
"state": "CA",
"country_code": "US",
"postal_code": "937283610",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "RENALITE IN-HOME KIDNEY CARE",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.